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#1 Posted : 06 March 2006 13:44:00(UTC)
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Posted By Rob Tuttey I am getting an increasing amount of requests from internal and external stakeholders what my organisation is doing around the growing risk of Avian Flu and should the virus mutate to human / human spread and reach the UK shores. What sort of activities are other organisations putting into this and does anyone have any information they are prepared to share. Regards Rob
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#2 Posted : 06 March 2006 13:55:00(UTC)
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Posted By J Knight Hi Rob, Currently we're doing nowt, as we don't have any poultry or any need to contact wild birds. My mate however works for the RSPB; he mostly is behind a desk, but one of his field projects is Osprey ringing, plus a ceratin amount of low-level ringing of other birds. He also keeps chickens. He is officially down as high risk, though beyond assessment the RSPB has as yet taken no action. They have presumably got contingency plans but since there is as yet no avian flu in the country they remain constingencies. If there was any bird flu the RSPB would be among the first to know. If the queries you mention are about what we might need to do if bird flu becomes transmittable from person to person, let's just say that it would no longer be H5n1, but something else, and its effect on humans can't be accurately predicted, John
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#3 Posted : 06 March 2006 14:04:00(UTC)
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Posted By John Murgatroyd Highly pathogenic avian influenza is categorized by OIE as a “list A” disease. List A includes transmissible diseases “which have the potential for very serious and rapid spread, irrespective of national borders, which are of serious socio–economic or public health consequence and which are of major importance in the international trade of animals and animal products" Those persons unlucky enough to have become infected with the virus have a high fatality rate, characterised by a massive over-reaction of the immune system and respiratory failure.
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#4 Posted : 06 March 2006 14:11:00(UTC)
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Posted By J Knight Hi John, This is the basis for the RA being carried out by the RSPB. Anybody working with wild birds or poultry needs some sort of RA, and the employer needs contingencies to protect workers. The only cases in humans seem to involve repeated & prolonged exposure to infected birds. H5n1 in its current form is no risk except to people working closely with infected birds. If it becomes a human pathogen, it will no longer be H5n1, John
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#5 Posted : 06 March 2006 14:23:00(UTC)
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Posted By Steven Look at defra.gov.uk Should have all your questions answered.
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#6 Posted : 06 March 2006 14:44:00(UTC)
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Posted By Ian Clarke The problems we are going to face as businesses isn’t avian flu, unless your business deals with birds, however almost all businesses do not. There will be affects in terms of the public response (fear and anxiety) when avian flu does reach this country, however it’s not going to cripple businesses. The risk is Pandemic Influenza and in terms of risk management, it is basically one of the biggest risks that businesses face. Although the risk of pandemic influenza is very low, the affects are the worst a company could possibly imagine (basically companies can go bust) – if business aren’t dealing with this now then they are risking their business and their employees. Cheers Ian
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#7 Posted : 06 March 2006 15:03:00(UTC)
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Posted By Nigel Hammond I went to the recent Avian Flu summit and got the impression that all major employers should have contingency plans - for a flu pandemic (not avian flu - although the current avian flu may lead to a flu pandemic). The representative from HSBC at the summit, said that they were asssuming that there would be upto 50% staff absence in a flu pandemic and were drawing up contingency plans for this. I work in social care where infection control is an important working practice that needs extra imputus. We also need to think about what would happen if medication, food and transport were restricted in a pandemic. It's not easy and highly speculative but I think that any good employer is expected to have contingency planning around this issue - not just people who work with birds! I suggest you look at the department of health web site for more guidance. You might also like to look at www.bfi.co.uk to see if they are running any more avian flu summits
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#8 Posted : 06 March 2006 15:07:00(UTC)
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Posted By John Donaldson If you go to the UK Resilience Web site it brings together most of the information you might need. http://www.ukresilience....test/human_pandemic.shtm and also follow the link to http://www.ukresilience....0_refreshed_guidance.pdf Which covers contingency planning
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#9 Posted : 06 March 2006 16:22:00(UTC)
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Posted By Descarte In the event of a "disaster" I suppose things you may want to consider are: Limiting peoples movement / contact Allowing / providing for work at home Suggestion / provision of Tamiflu or other flu like remidies Over xmas our company suggested to all people (not just old or vunerable) to get flu jabs either through work or their local GP, as contact of the virus with someone already with flu could result in the cross breed hybrid everyone is dreading Government already have plans for vaccination of priority workers, unless you work for military, police or gov its unlikely to be you. Make provisions for people being off work ill, scaling down of work and duties during this time Ensuring if canteen on site providing food that all chicken is thouroughly cooked (though only in event of mass outbreak) Dont pick up dead birds/animals etc. General commonsense stuff I guess
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#10 Posted : 06 March 2006 19:53:00(UTC)
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Posted By John Murgatroyd http://www.cdc.gov/flu/avian/outbreaks/current.htm I've been wandering through various health websites for several months. They all refer to human h5n1....they don't differentiate between the virus in human or bird/s. I'll go by their definition, thankyou. As for providing your staff with standard flu injections, if you do you'd better assume staff illness will be much higher than usual for those "immunised", as well as moderate to severe pain in the injection area. Since this is usually the arm not used most it will mainly be an irritation unless the person types...etc. And this is from PERSONAL experience, since I used to have the flu "jab" every year....used to. Then some bright spark decided that a pneumovax jab would be a good idea....which crippled the injected arm for nearly a week...as in NON-MOVING... From my PERSONAL experience hospital admittance is MUCH higher in elderly people who have received the flu "jab"> If you insist on your staff having the injection/s, you'd better also expect that they won't be happy.
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#11 Posted : 07 March 2006 08:16:00(UTC)
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Posted By Jim Walker Am I the only one who thinks this is going to be a re-run of Y2K ??
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#12 Posted : 07 March 2006 08:24:00(UTC)
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Posted By Peter Longworth Can someone tell me where are all these birds that are falling dead from the sky? We will probably end up killing more birds than the flu. If its not killing birds in their millions what makes anyone think it will kill millions of people?
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#13 Posted : 07 March 2006 09:50:00(UTC)
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Posted By Descarte Dont you read the news? All from BBC news: "Two hundred million birds have either died from the disease or been destroyed in an effort to contain its spread." - Africa alone "A few days ago my chickens started dying. Over 1,000 died and so I have had to destroy them all" "Ethiopia is carrying out tests after the suspicious deaths of some 6,000 birds" "Niger, like most West African countries, had banned poultry imports from Nigeria, where some 300,000 chickens have reportedly died" A man who died last week in the south Chinese province of Guangdong has been confirmed by the health ministry as the country's ninth victim of bird flu - Sinday 5th March 2006 BBC news Meanwhile the agriculture ministry said 16,000 quails had already died of bird flu this year in Guizhou province
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#14 Posted : 07 March 2006 11:21:00(UTC)
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Posted By Calum Clark As far as preventing the spread of avian flu there isn't much you plan for if your company doesn't deal with birds other than make employees aware of the advice from various orgnaisations such as Defra and HPA. We put up a web page for staff who travel aborad with such information. In the event of a large scale outbreak we will probably all be guided by the authorities. As has been alluded to the main risk to your buisness is the same as for any pandemic; loss of staff and customers. Illness, limiting personal contact and the refusal of some people to leave their house will affect your ability to operate and the ability of your customers to operate. Contingency planning should concentrate mostly on business continuity which shoud not be limited to avain flu.
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#15 Posted : 07 March 2006 11:26:00(UTC)
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Posted By Nigel Hammond Just to pick up on a comment by John, H5N1 is a virus that can transfer from birds to humans but cannot yet transfer from human to human. We are currently at phase 3 on the WHO scale. If it changes shape in a way that makes it capable of transferring from human to human then we will be at phase 4 - which may result in a human pandemic. If this happens, it will not be called 'avian flu' - it will be 'human flu'. I'm not saying avian flu is not an issue. The more birds that get it, the greater chances of humans catching it. The more humans that get it, the greater is the chance of it mutating to the human-to-human form. At least that is my understanding based on attending the Avian Flu summit.
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#16 Posted : 08 March 2006 00:37:00(UTC)
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Posted By Steve P UK Well, a pandemic should solve the pensions crisis.
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#17 Posted : 08 March 2006 00:38:00(UTC)
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Posted By John Murgatroyd Bored already. facts: Give all your staff flu jabs and about 10% of them will be off work with the side effects. Those still in will have varying degrees of discomfort. Been there, done that. *IF* there is an outbreak, even of ordinary flu, advice is to stay at home, not use public transport (the best way to spread disease invented by man)...so your flu jabs won't be of much help since your staff will stay at home anyway !! *IF* the virus mutates to spread from human-human, it probably won't be as dangerous anyway, but *IF* it is, and it spreads, public transport will probably be stopped. Either way, your staff will stay at home. It's simple....go to work and risk contracting the disease, or stay at home and risk the sack. No contest. Especially with government advice to not travel ! ! http://www.who.int/csr/d...qs/en/index.html#present
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#18 Posted : 08 March 2006 08:13:00(UTC)
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Posted By Jim Walker John, Nicely put. So, if the worst happens.........for most firms shut down, switch off the lights lock up & go home. For organisations that can't do that (for whatever reason) they need a contingency plan. Most rely on key people going to work. My question is will they? 30 years ago there was a loyalty & duty ethic and I think people would have done so. Today I'm not so sure, we have seen time and again that employers have no loyalty to their staff (who has job security now days?). And of course loyalty cuts two ways. I think most people will put family first and s*d the job, this needs to be factored into any planning - difficult to impossible I'd say.
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#19 Posted : 08 March 2006 08:27:00(UTC)
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Posted By Steve P UK Compounded by the number of job vacancies that will need to be filled after a pandemic....
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#20 Posted : 10 March 2006 12:56:00(UTC)
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Posted By Nigel Hammond Rob, I am surprised you have not received more constructive suggestions on this thread. It is a very difficult thing to grasp because it is highly speculative. Even so, we can't just sit back and pretend it is not an issue - it is a 'reasonably foreseeable risk'. Maybe you need to describe what type of organisation you work for so that someone of a similar organisation can give you suggestions.
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#21 Posted : 10 March 2006 15:24:00(UTC)
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Posted By David Kimmins All, (Offering information) Our company has a group that is tracking and working on this and produces a weekly update of what is going on in the world. If anyone would like to recieve this weekly update please send me an e-mail and I will add you to a distribution list. Additionally our company has worked on a pandemic response plan that I am happy to share with anyone who wants it after it is finished its review by legal. We are willing to share openly anything we have, as I believe each of us will benefit in the long run from others being prepared and may suffer because of those who did not have a plan. David
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#22 Posted : 15 March 2006 10:11:00(UTC)
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Posted By Rob Tuttey Many thanks to those that offered advice and provided me with information (very useful). I'm impressed by the level of response to my first ever posting and this has taught me one thing, I must be more specific with a request when I post it!!.
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#23 Posted : 15 March 2006 14:14:00(UTC)
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Posted By J Knight Just to pick up on a few points here. We have contingency plans to allow for various problems, ranging from widespread flooding, to fuel strikes, to fire. Flu is just another emergency, and judging by the way one of our care centres is already dealing with a local outbreak of Winter Vomitting Sickness, we seem to be doing OK (not being complacent, this is always under review). The last flu pandemic caused an excess mortality of around 30 - 50,000 in the UK, estimates for the next pandemic range from around 20,000 to around 250,000. Obviously the latter figure would be quite serious, but bear in mind that flu causes around 10,000 excess deaths pa anyway, and it puts the lower figures into a rather easier to deal with range. This may or may not be the next Y2K; what bothers me is that since we should have civil contingency plans in place anyway, and this is just another civil contingency, why should we be doing anything yet, when slight modifications to existing plans can be effected in a half-day's work? John
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#24 Posted : 15 March 2006 14:20:00(UTC)
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Posted By Jonathan Breeze Did anyone else see the Equinox special the other night? I'm fairly convinced if and when it becomes contagious in the human population, it's more likely to be a repeat of the 1918 Spanish Flu epidemic than the Y2K bug. It won't solve the pension crisis, because it'll take the fit & healthy rather than the elderly. That said, I agree entirely with John about contingency planning.
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#25 Posted : 15 March 2006 19:45:00(UTC)
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Posted By Merv Newman Technical/legal question. If we, as poultry breeders, insist that employees have the flu jab and 10% of them become ill and off work for a week, is this RIDDOR reportable ? Merv
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#26 Posted : 15 March 2006 19:48:00(UTC)
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Posted By John Murgatroyd The flu epidemic of 1918 was caused by an H1N1 bird flu virus becoming able to spread from human to human (sound familiar). The 1957 and 1968 pandemics started when another human flu virus picked up genes from a bird flu virus. The 1918 pandemic exposed 98% of the planets population to the virus, 28% became sick and 3% (of the 28% infected) died (which was 1% of the planets population). Presently, H5N1 kills about 30% of those infected (although it is possible that many infected don't even notice it, so lessening the death rate) The 1918 pandemic arose in a world without the mass international public transport we have now.
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#27 Posted : 15 March 2006 20:47:00(UTC)
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Posted By John Murgatroyd Which flu jab would you give them ? An ordinary flu jab would only protect [some of] them from ordinary flu.....and a jab for H5N1 isn't available yet....and maybe it never will be !
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#28 Posted : 16 March 2006 10:22:00(UTC)
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Posted By Robert Weiland I read in the Times other week (bit high brow for me) that until the Flu combines with a human bug we have no issue. If it does we really will need to start panicing. The problem is at this moment the only people readily identified as a major worry are believe or not Voodoo Priests, who bite in to birds as part of their ceremonies. Who fancies going into their camp to warn them ? Quick joke as well... Lion and Elephant arguing who is the king of the jungle. The lion says "When I roar animals fear for their lives" the Elephant says "When I stamp my feet the whole jungle shakes" A small chicken hears this and approaches the animals he says "well I only have to cough, the nation gets scared and I get on the front of papers." Boom Boom.
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#29 Posted : 16 March 2006 13:19:00(UTC)
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Posted By J Knight JOon, This is all true and reasonably common knowledge, but we still can't safely argue from analogy. Beacuse H1n1 became Spanish flu and killed 1% of the world's population doesn't mean that H5n1 will behave in the same way. Whatever the mortality from H5n1 in its current form, this not a reliable guide to how lethal it will be when it changes into a form which can move from person to person. Your position seems to be that the virus will mutate, that it will be highly lethal, and that there is nothing anybody can do about it. So we may as well put our feet up and do nothing. Or we can wait, with existing contingency planning already in place, until we have some facts rather than analogy and speculation, and mould existing outline plans to the specifics of the situation. Unless you work in the poultry or anti-viral research industries there is nothing we can do yet other than wait and see, John
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#30 Posted : 16 March 2006 15:16:00(UTC)
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Posted By Fiona Cowan The following links give wide ranging collections of info on Flu issues - http://www.fluwikie.com/index.php?n=Main.HomePage and Contingency planning - http://www.continuitycentral.com/uk.htm for anyone looking for information on either/both of these topis in need of guidance re the topic. Fiona
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#31 Posted : 16 March 2006 20:37:00(UTC)
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Posted By John Murgatroyd My position is better summed this way. There is no human vaccination available, yet. Since there is no human - human transmissable H5N1 virus. Whether "it" will have any effect on the spread of any mutated virus depends on what form the virus takes. If "it" becomes highly infectious between humans then it also depends upon the period from which the disease from an INFECTED person becomes capable of being spread...ie: will the person be infectious before he/she falls ill ? Nightmare scenario ? The disease become capable of being transmitted from person to person, the person infected can spread the disease before they realise they are ill and they are regular users of high-density public transport....the tube, etc. Until then, who cares ? Let the various world health units do their job. If the virus does mutate and spread, and is highly infectious, there is minimal chance (virtually none) of a vaccine being produced in the quantity required for general vaccination of the world population. The vaccine will go to those most needing it, politiceans, doctors police, lawyers and those having chronic illnesses. poultry farmers aren't in the list, nor are H&S professionals. Anyway, if you give your staff the flu jab, they won't be doing any typing for a day or two. !
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#32 Posted : 21 March 2006 14:44:00(UTC)
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Posted By ian milne Hmmmm, there seems to be a recent surge and 'affa' lot of cases of these supposedly extinct epidemics, don't you think. Can I suggest that you check out the Centre for Disease Control and World Health Organisation as mentioned by others. They see it more from a global perspective (oh and their goverments force them to jump the gun a lot) and offer factual (well it is at the time) information. Our corporate has released a information slide show for internal use only to all our transport & logistical support locations to raise awareness among our own staff who may travel personally & professionally. Ian
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#33 Posted : 21 March 2006 17:54:00(UTC)
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Posted By Gill Sellars I am a member of a Pandemic Contingency Group. We are building the 'Pandemic scenarios' into our Business Continuity Plans. I personally think this Pandemic risk is a real issue that H&S managers need to be aware of and plan for. There are a number of good information sources available. US Government web site, which contains lots of information I particularly like the document they have circulated to individuals to help them prepare http://www.pandemicflu.gov/ A very balance Bird Flu 'Blog' site with many global links http://crofsblogs.typepad.com/h5n1/ Our own Department of Health web site http://www.dh.gov.uk/Pol...anning/PandemicFlu/fs/en There are some good documents on the Web that explain the background and the risks. If you e-mail me directly I am happy to forward you copies gill_sellars@unipart.co.uk
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#34 Posted : 23 March 2006 09:22:00(UTC)
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Posted By John Murgatroyd The H5N1 influenza virus needs to acquire the ability to pass from human to human in order to precipitate the downfall of civilisation. According to virologists reporting in tomorrow's edition of Nature it all comes down to human anatomy. They say that the disease can only replicate in the presence of a particular flavour of the molecule it recognises and binds to in order to cause trouble. In humans it seems this receptor is concentrated in the lower region of the lungs, which means viruses can only replicate down there. In turn this means it is much less likely to be spread by sick people coughing and sneezing. The upper respiratory tract has an alternative form of the binding molecule. H5N1 would have to mutate in order to use this molecule.
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